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Daly
- 1. DALY
- 2. contents • Why to study DALY? • What is DALY& its principles? • How it came into existence? • How to calculate DALY? • The components of DALY • DALY -INDIA &World • Latest update • Extended points
- 3. Why it is necessary ? • Denotes social weighing • Social weighing-society”s interest in productivity &receiving a return on its investment in upbringing a child • Reveals facts regarding population health • Ex.1990 who report- 5out of 10 leading cause of disability is psychiatric illness. • Years lived as a young adult is valued more.
- 4. What is DALY? • Measure of overall disease burden • Expressed in terms of years • 1 DALY = 1 lost year of healthy life • DALY = YLL + YLD • Yll-years of life lost d/t dying early
- 6. • YLD- years lived with disabilities • Prevalence of disorder*loss of health associated with that ds. • Or, prevalence * disability weight • (prevalence- old+new cases) • Disability weight-how much a medical condition affects a person.(severity of disability)
- 8. History • Developed by Harward university • In year 1990 for world bank • WHO adopted it in 1996 for health R&D • 1st used by Murray & Lopez For WHO & world bank • To study global burden of ds
- 14. 2.Discounting • What will you choose if i have offer to give you a healthy life immediately and or a year later • Almost all chooses immediately • The value of healthy gain today is Valued more than in future
- 16. DALY & INDIA • (lancet by elsvier 2016 & Niti aayog) • Daly D/T NCD & INJURIES> CMNND(communicable, maternal, neonatal & nutritional) • Age strandardised Daly rate dropped by 36.2%(1990 to 2016) • Major R/F for NCD- increased bp, cholesterol, bmi.
- 17. Daly and India (2) • 6 leading cause of Daly – IHD, COPD, DIARRHOEAL DS, LRTI, Cerebrovascular ds,RTA • 5 leading R/F for DALY- child & maternal malnutrition, air pollution, Diet,incresed bp & glucose fasting(N 100mg/dl)
- 18. DALY & World • 5 leading cause of daly- • CVS Ds • Diarrhoea , meningitis • Neuro psychiatric disorder • Neoplasm • Musculo skeletal disorder • (Ref- national institue of mental health,Bethesda, U.S 2016)
- 19. Latest updates • Life expectancy-avg no of years at particular age a person is expected to live • In India it is 69.09yrs • India ranks 165 while 1st is monaco(89.37yrs),2-japan(85.52yrs),3- singapore(85.47yrs) &last rank 228 is south africa(50.64yrs) •
- 20. Extended points • QALY- no of years of life would be added by intervention. • Used to accessing value of money of med intervention.
- 22. THANK YOU